DBT for borderline personality disorder (DBT-BPD) is a group therapy. While group therapy might be done in a variety of different settings—either in a hospital or by a community health setting—group therapy is more effective when the treatment is flexible. This means that the counselor will adapt the group to be conducive for the client. For example, if the client previously had to be asked to engage in such group activities as working through transference about the patient’s relationships with significant members of his or her family, then making those kinds of issues optional may greatly improve the effectiveness of the group.
DBT-BPD first teaches skills training (SDT) to teach change. The first phase of DBT consists of a four-phase behavioral skills training program. The four phases of DBT-BPD are as follows: (1) psychoeducation, (2) crisis intervention, (3) emotional regulation skills training, (4) dialectical behavior therapy. The second phase of DBT-BPD is the crisis intervention. This is a key part of the treatment process.
Linehan (1993) concluded that for patients with BPD there is a relationship between the patients developing skills in skills training to learning other skills development. In short, Linehan found that learning to regulate emotions in DBT is a precursor for learning skills in the actual therapy.
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